Medicare for Higher Income
2026 Medicare Costs + Coverage Updates
The Centers for Medicare & Medicaid Services (CMS) have released the Medicare costs and coverage information for 2024.
PART A - COSTS
PART A (Hospital) Premium
Most people don't pay a monthly premium for Part A. If you do buy Part A, you'll pay up to $565 each month if you paid medicare taxes for less than 30 quarters. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $311.
PART A Deductible + Coinsurance
- $1,736 deductible for each benefit period
- Days 1-60: $0 coinsurance for each benefit period
- Days 61-90: $434 coinsurance per day for each benefit period
- Days 91 and beyond: $868 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)
- Beyond lifetime reserve days: all costs
PART B - COSTS
PART B (Medical) Premium
Those enrolled in Part B will pay at least the standard $202.90/mo premium (based on income). Higher income earners will pay a Part B IRMAA (Income Related Monthly Adjustment Amount) in addition to the $202.90/mo standard premium.
PART B Deductible + Coinsurance
- $283 deductible per year
- After your deductible is met, you typically pay 20% of the Medicare-approved amount for most doctor services, outpatient therapy, and durable medical equipment (DME)
Part B Income-Related Adjustments If your MAGI (Modified Adjusted Gross Income*) in 2024 was… | |||
|---|---|---|---|
File Individual Tax Return | File Joint Tax Return | File Married + Separate Tax Return | What You Pay to Medicare (per person) Each Month in 2026 (Part B premium + IRMAA) |
$109,000 or less | $218,000 or less | $109,000 or less | $202.90 |
$109,001 to $137,000 | $218,001 to $247,000 | Not applicable | $284.10 (202.90 + 81.20) |
$137,001 to $171,000 | $274,001 to $342,000 | Not applicable | $405.80 (185.00 + 185.00) |
$171,001 to $205,000 | $342,001 to $410,000 | Not applicable | $527.50 (202.90+ 324.60) |
$205,001 to $499,999 | $410,001 to $749,999 | $109,001 to $390,999 | $649.20 (202.90+ 446.30) |
$500,000 + | $750,000 + | $391,000 + | $689.90 (202.90 + 487.00) |
PART D - COSTS
Higher income earners who are enrolled in Part D Prescription Drug coverage also pay a Part D IRMAA in addition to the monthly insurance premium for a Part D prescription drug plan or Medicare Advantage plan that includes Part D coverage (see table below).
Part D Income Related Adjustments If your MAGI (Modified Adjusted Gross Income*) in 2023 was… | |||
|---|---|---|---|
File Individual Tax Return | File Joint Tax Return | File Married + Separate Tax Return | What You Pay To Medicare (per person) Each Month in 2024 |
| $109,000 or less | $218,000 or less | $109,000 or less | your plan premium |
| $109,001 to $137,000 | $218,001 to $274,000 | Not applicable | $14.50 + your plan premium |
| $137,001 to $171,000 | $274,001 to $342,000 | Not applicable | $37.50 + your plan premium |
| $171,001 to $205,000 | $342,001 to $410,000 | Not applicable | $60.40 + your plan premium |
| $205,001 to $499,999 | $410,001 to $749,999 | $109,001 to $390,999 | $83.30 + your plan premium |
| $500,000 + | $750,000 + | $391,000 + | $91.00 + your plan premium |
Money Saving Tip:
If a retiree's current income is lower than the most-recent tax return, they may be eligible to appeal a Medicare premium surcharge — but only if the income drop is the due to specific life-changing events such as death of a spouse, divorce, marriage or retirement. If that is the case, clients should immediately respond to the premium surcharge notice, known as an income-related monthly adjustment amount (IRMAA) letter they receive in the fall, and follow the instructions on how to appeal the surcharge.